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51-200: Updates to 2-Year Rate Cap

Jun 10, 2014

One of SeeChange's most popular programs for large groups is their ​Two Year Rate Cap. When 50% of eligible members complete Preventive Health Actions, initial rates are extended to second year (subject to regulatory and legislative changes). SeeChange offers this program because they know the more employees who complete these health actions, the earlier they’ll be able to intervene so small medical conditions don’t become big medical conditions. (Of course, your CFO clients like the program because it delivers unmatched rate stability).

SeeChange's studies show that the sooner in the year groups reach the 50% threshold, the greater the impact on claim trends. So, beginning with large groups effective May 1, 2014, the 50% threshold will need to be reached within six months of the group’s initial effective date (groups they’ve quoted before April 1, 2014 with the current deadline may choose either that 10-month eligibility period or the new, six month period).

This change benefits your clients in two ways: 1) they’ll know whether they qualified for the rate cap well in advance of their renewal; and 2) the earlier completion is expected to have a long-term impact on their premiums—beyond their second year with SeeChange.

Employees will find it easy to complete their Health Actions. It takes less than five minutes for most members to complete the private and secure online Health Questionnaire. SeeChange sends a phlebotomist to the worksite to help them complete their ​biom​etric screening or, in many communities, members can make an appointment at a local clinic. And six months is plenty of time in which to complete their covered preventive exams and age and gender-specific cancer screenings.

The enhanced large group HMO Combo program and the Large Group Second Year Rate Cap, especially when combined with SeeChange's new rating model, means SeeChange will be the right plan for an ever increasing percentage of your larger clients.

For questions regarding SeeChange's 2-Year Rate Cap, please ​contact a member of your b&p Sales Team - 888.722.3373.

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